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Abstract
Case report: We present the case of a male to whom a Swan Neck catheter is placed with good initial functioning, but in three months he needs two alpha maneuvers due to migrations and ends up needing a catheter replacement, this time placing a self-locating catheter.
During the healing period, he presents new displacement and a third alpha maneuver allows to restart the technique.
At three months, he is studied for presenting abdominal symptoms. Abdominal radiograph shows dilation of intestinal loops, urgent CT shows dilation of the caecum and colon until the crossing with the peritoneal dialysis catheter, being diagnosed of colon mechanical obstruction produced by dialysis catheter.
Laparoscopy is performed and the tip is repositioned in the pelvis. After surgery, the patient progressed favorably and after three months he received a cadaver renal transplant.
Despite opting for the self-locating catheter due to the lower rate of displacement, in the case of our patient the episode is repeated and it is also associated with a serious complication.
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References
- Twardowski ZJ. History of peritoneal access development. Int J Artif Organs 2006;29:2-40.
- Dell´Aquila R; Chiaramonte S; Rodighiero MP; Spano E; Di Loreto P; Ocampo Kohn C el all. Rational choise of peritoneal dialisys catheter. Perit Dial Int 2007;27(S2):S119-25.
- Di Paolo N; Petrini G; Garosi G; Buoncristinati U; Brardi S; Monaci G. A new self- locating peritoneal catéter. Perit Dial Int 1996;16:623-7.
- Mc Cormick B; Bargman J. Noninfectious Complications of Peritoneal Dialisys: Implications for Patient and Technique Survival. J Am Soc Nephrol 2007;18:3023-5.
- Rodríguez-Palomares JR; Ruiz C; Granado A; MontenegroJ. El acceso peritoneal. Complicaciones no infecciosas del acceso peritoneal. Guías de práctica clínica en diálisis peritoneal. Nefrología 2006; 26:99-107.
- Kume H; Miyazaki H; Nagata M; Ishikawa A; Ishibashi Y; Fujita T et al. Peritoneal fixation prevents dislocation of Tenckhoff catheter. Perit Dial Int 2011;31:694-7.
- Sánchez JJ; García H; García R; Pascual MJ; Casado D. Prospective randomized study comparing a single-cuff self-locating catheter with a single-cuff straight Tenckhoff catheter in peritoneal dialisys. Perit Dial Int 2016;36:52-9.
- Salvador MC; Folch MJ; Mallol A; Bort J; Renau E; Cerrillo V el all. Estudio comparativo entre catéteres peritoneales autoposicionantes y catéteres Tenckhoff en referencia a su desplazamiento intraperitoneal. Enferm Nefrol 2012;15:188-93.
- Di Paolo N; Capotondo L; Brardi S; Nicolai G. The selflocating peritoneal catheter: fifteen years of experience. Perit Dial Int 2010;30:504-5.
- Bergamin B; Senn O; Corsenca A; Dutkowski P; Weber M; Wüthrich RP et al. Finding the right position: a three-year, single-center experience with the “self-locating” catheter. Perit Dial Int 2010;30:519-23.
- Di Paolo N; Capotondo L; Sansoni E; Romolini V. The self-locating catheter: clinical experience and follow-up. Perit Dial Int 2004;24:359-64.
- Moreiras M;Martín IM; Blanco R; Beato LV; Cossio CR. New Peritoneal Catheters: New Catheter Problems?. Perit Dial Int 2014;34:556-61.
References
Twardowski ZJ. History of peritoneal access development. Int J Artif Organs 2006;29:2-40.
Dell´Aquila R; Chiaramonte S; Rodighiero MP; Spano E; Di Loreto P; Ocampo Kohn C el all. Rational choise of peritoneal dialisys catheter. Perit Dial Int 2007;27(S2):S119-25.
Di Paolo N; Petrini G; Garosi G; Buoncristinati U; Brardi S; Monaci G. A new self- locating peritoneal catéter. Perit Dial Int 1996;16:623-7.
Mc Cormick B; Bargman J. Noninfectious Complications of Peritoneal Dialisys: Implications for Patient and Technique Survival. J Am Soc Nephrol 2007;18:3023-5.
Rodríguez-Palomares JR; Ruiz C; Granado A; MontenegroJ. El acceso peritoneal. Complicaciones no infecciosas del acceso peritoneal. Guías de práctica clínica en diálisis peritoneal. Nefrología 2006; 26:99-107.
Kume H; Miyazaki H; Nagata M; Ishikawa A; Ishibashi Y; Fujita T et al. Peritoneal fixation prevents dislocation of Tenckhoff catheter. Perit Dial Int 2011;31:694-7.
Sánchez JJ; García H; García R; Pascual MJ; Casado D. Prospective randomized study comparing a single-cuff self-locating catheter with a single-cuff straight Tenckhoff catheter in peritoneal dialisys. Perit Dial Int 2016;36:52-9.
Salvador MC; Folch MJ; Mallol A; Bort J; Renau E; Cerrillo V el all. Estudio comparativo entre catéteres peritoneales autoposicionantes y catéteres Tenckhoff en referencia a su desplazamiento intraperitoneal. Enferm Nefrol 2012;15:188-93.
Di Paolo N; Capotondo L; Brardi S; Nicolai G. The selflocating peritoneal catheter: fifteen years of experience. Perit Dial Int 2010;30:504-5.
Bergamin B; Senn O; Corsenca A; Dutkowski P; Weber M; Wüthrich RP et al. Finding the right position: a three-year, single-center experience with the “self-locating” catheter. Perit Dial Int 2010;30:519-23.
Di Paolo N; Capotondo L; Sansoni E; Romolini V. The self-locating catheter: clinical experience and follow-up. Perit Dial Int 2004;24:359-64.
Moreiras M;Martín IM; Blanco R; Beato LV; Cossio CR. New Peritoneal Catheters: New Catheter Problems?. Perit Dial Int 2014;34:556-61.